How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $309.03 Median $426.58 Typical High $1,047.13 | Facility | None | $309.03 | $426.58 | $1,047.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $141.25 | Facility | 26 · Professional part | $63.10 | $83.18 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $239.88 Median $660.69 Typical High $933.25 | Facility | TC · Technical part | $239.88 | $660.69 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $426.58 Typical High $933.25 | Professional | None (both parts) | $309.03 | $426.58 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $63.10 Typical High $194.98 | Professional | 26 · Professional part | $61.66 | $63.10 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $239.88 | $363.08 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $3,235.94 Typical High $4,073.80 | Facility | None | $2,511.89 | $3,235.94 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $281.84 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $31.62 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $251.19 | $251.19 | $416.87 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $380.19 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $380.19 | $501.19 | $588.84 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $72.44 | $81.28 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $389.05 | $436.52 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $954.99 Typical High $1,737.80 | Facility | None | $407.38 | $954.99 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $794.33 | Professional | None (both parts) | $213.80 | $288.40 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $154.88 | Professional | 26 · Professional part | $33.11 | $41.69 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $676.08 | Professional | TC · Technical part | $177.83 | $257.04 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $691.83 | Professional | None | $512.86 | $562.34 | $691.83 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $870.96 | Facility | None | $645.65 | $870.96 | $870.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $588.84 | Professional | None (both parts) | $181.97 | $181.97 | $588.84 |
Sentara Setting Facility Modifier None Typical Low $89.13 Median $398.11 Typical High $1,737.80 | Facility | None | $89.13 | $398.11 | $1,737.80 |
Sentara Setting Professional Modifier None (both parts) Typical Low $114.82 Median $691.83 Typical High $1,000.00 | Professional | None (both parts) | $114.82 | $691.83 | $1,000.00 |
Sentara Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $77.62 | $97.72 | $169.82 |
Sentara Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $660.69 Typical High $933.25 | Professional | TC · Technical part | $457.09 | $660.69 | $933.25 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $3,715.35 | Facility | None | $1,513.56 | $1,698.24 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $234.42 | $436.52 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $47.86 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $346.74 Typical High $660.69 | Professional | TC · Technical part | $190.55 | $346.74 | $660.69 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $61.66 | $85.11 | $85.11 |
Where Virginia sits
The same service costs 11.5 times more in Alaska than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Virginia· 35th of 51
$427
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.